RSPCA Animal History: Small Animal

Animal's Name *
Species *
If Other, please specify
Gender *
Colour *
Breed
Date Of Birth (approx if not known) * If you don't know the exact date of birth, please just put the nearest you believe it to be.
Description * Please describe the personality and traits.
Please provide a recent photo of the animal
Owner's reason for parting with animal *
Has the animal lived with children?
If yes, please specify the ages of children and animal's behaviour
Has the animal lived with animals other than cats and dogs? If so, please specify
Is the animal used to men and women?
Has the animal been neutered? *
Has the animal been microchipped? *
Is the animal up to date with vaccinations?
Have you got vaccination records for the animal?
Where did you get the animal from initially? *
How would you describe your animal's behaviour? For example: bold, shy, timid, aggressive, affectionate *
Does your animal have any medical conditions that are undergoing treatment? *
Has your animal had any previous operations or treatment for medical conditions?
Does your animal have any known allergies?
Is he/she prone to biting?
Is he/she used to a gravity water feeder, eg: bottle or bowl?
What brand of dry food is the animal currently used to? *
Is he/she used to being handled?
Please describe the animal's current accommodation?
First Name *
Surname *
Street Address *
City
Post Code *
Best phone number to contact you *
Email Address *
Are you able to make a donation to go towards the care costs during their stay with us? *
All personal information supplied by you on this form will be processed by the RSPCA Milton Keynes & North Bucks branch in accordance with our privacy policy Click here to view our PRIVACY POLICY